Past Issues

SUMMER 2022 – Inaugural NSIR-RT Annual Report

SPRING 2022 – Radiation treatment for patients with implanted medical devices

WINTER 2022 – Update of pre-treatment quality control procedure

FALL 2021 – Using an audit and feedback system to improve the accuracy of events entered into the NSIR-RT

SUMMER 2021 – Working towards improved quality and safety in radiotherapy treatment planning processes

SPRING 2021 – The importance of Equipment Integrity used in Brachytherapy Treatments

WINTER 2021 – The Importance of confirming patient identification during procedural changes (COVID-19-focused Bulletin)

FALL 2020 – The “impact” of dosimetric impact

SUMMER 2020 – Error reporting in a time of pandemic

SPRING 2020 – Using volume trend analysis to reduce incident propagation

WINTER 2020 – Second Victim: Supporting staff involved in radiation treatment incidents

FALL 2019 – Learning from Incidents in the use of MRI in the RT Environment

SPRING 2019 – Appropriate Policies and Procedures Can Help Mitigate Incident Occurrence

WINTER 2019 – Commissioning and Configuring Checks of Software Systems by a Second Medical Physicist

FALL 2018 – The Potential Impact of Scheduling Delays in the Delivery of Concurrent Chemoradiotherapy

SUMMER 2018 – Automation Bias in Radiation Treatment

SUMMER 2017 – NSIR-RT Pilot Evaluation Report

SPRING 2017 – NSIR-RT pilot: Using data to inform system improvement

SUMMER 2016 – How to Classify a Delay

FALL 2016 – Beyond BETA testing

NSIR-RT Safety Advisories

The National System of Incident Reporting – Radiation Treatment (NSIR-RT) is a tool developed by CIHI and CPQR allowing participating centres to report, track and analyze incidents from their local program, and anonymously from other Canadian centres.

Although CPQR reviews incident submissions to inform the radiation treatment community on important patterns and trends, and make recommendations to minimize or mitigate risk, incident submissions are not monitored for the purpose of identifying specific incidents warranting dissemination.

CPQR may respond to requests to disseminate safety advisories from provincial cancer agency leadership, where there may be action required by radiation treatment programs or the broader cancer community.

CPQR has made these safety advisories available online to encourage a culture of continuous quality improvement.

Reusable guide tubes for brachytherapy

Brachytherapy non-metallic intrauterine tandem break in patient